Organization
ALLIANCE PRESCRIPTION SERVICES INC
Active
Other names
Medstop Pharmacy & Surgical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JACOB (PRESIDENT)
(718) 552-2278
Entity
Organization
Contact information
Practice address
1330 JEROME AVE, BRONX, NY 10452-3316
(718) 552-2278
(718) 552-2280
Mailing address
1330 JEROME AVENUE, BRONX, NY 10452
(718) 552-2278
(718) 552-2280
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030744
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03349199
—
NY
01
—
5802699
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/20/2011
Last updated
09/21/2011
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